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Transforming Fibromyalgia Care: An Osteopathic Route to Improving Quality of Life

Journal: The AAO Journal Date: 2024/06, 34(2):Pages: 20. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/34/2/16/500954/LBORC-NUFA-Poster-Abstracts-2024-Students)

Keywords:

case report [705]
female [594]
fibromyalgia [43]
geriatrics [111]
OMT [3746]
osteopathic manipulative treatment [3766]
women [550]

Abstract:

Introduction/Background: Fibromyalgia, affecting 4 million US adults, is characterized by widespread pain, fatigue, depression, disrupted sleep, anxiety, and limitations in daily activities. Central sensitization, stemming from the musculoskeletal system, leads to a heightened pain response. Given its incurable nature, management is critical. This article explores the effectiveness of Osteopathic Manipulative Treatment (OMT) in enhancing the quality of life (QOL) of Fibromyalgia patients. Case: 70-year-old female with 15 years of Fibromyalgia, presents to the OMT clinic experiencing 10/10, constant, pain throughout the back, both hips, and neck. Twelve of the 18 fibromyalgia tender points were palpated, along with multiple others. Pain and fatigue, significantly restricted daily activities, causing 70% reliance on indoor and outdoor cane usage, and daily pain medication. Over 5 months, I conducted 5 of the 6 one-hour OMT sessions with a physician, utilizing a variation of soft tissue, direct myofascial, and counterstrain techniques to areas along the back, neck, gluteal region, and extremities. Results: Between the third and fifth session, the Oswestry Disability Index, decreased from 31%, to 24%. By the sixth appointment, the patient communicated a substantial decrease in cane use from 70% to 30%. Notable improvements were self-reported, including dancing, cooking without needing a stool, and extended walking without a cane. Patient self-reported a considerable decrease from 10/10 baseline pain to 3/10, and discontinuation of daily pain medication. Discussion: This case study demonstrates that OMT offers fibromyalgia patients relief, allowing participation in QOL-enhancing activities. Clinicians should consider potential benefits of frequent OMT sessions to optimize outcomes for fibromyalgia patients. One limitation in this study is the extended duration in between visits, approximately 3 weeks, which could have influenced the obtained results.


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